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_ � � <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> f111 information must be submitted in full before plan review will be started. <br /> (please print a11 information) <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �SSc� T ily P�,AC_� ZIP: _�5�3� r <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF O�VNER: , PHONE: (home) �7'�Z -�/'l�2�3 <br /> (work) ) �r r�y3» <br /> MAILING ADDRESS: �Sb ,� �f �t4c� CITY: �7A-,� ZIP: �S'�� <br /> CONTRACTOR � L /`— PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration�_ Land Alteration <br /> PROPOSED �VORK(describe in detai�: �' p L�}� Sc�t3 5-7�}n,2p�p ���,2. <br /> STORIES: �i" SQ. FEET OF EACH FLOOR �2o SQ��, 1 ST �02 �(�,SQ�� ���� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�� � <br /> I hereby apply for a building pernut and I aclrnowledge that the information above is complete and accurate;that the <br /> work will be in conformance �i-ith the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work i not to st wi out a permit;and that the work will be in accordance with <br /> the approved plan. <br /> r �� � �� <br /> APPLICANT'S SIGNATURE: DATE: <br />